<include file="common/fileinput"/>
<include file="common/ueditor"/>
<include file="template:style"/>
<div class="col-xs-12">
	<div class="row">
		<form class="form-horizontal" role="form" id="form" action="{:U('Reminders/edit')}">
			<div class="form-group">
				<input type="hidden" name="id" value="{$data.id}">
				<include file="template:input" name="account" label="账号" value="{$data.account}"  attr='data-rule="required;length(~50)" maxlength="50"'/>
				<include file="template:number" name="money" label="还款金额" value="{$data.money}"  attr='data-rule="required;length(~50)" maxlength="50"'/>
				<include file="template:selectCol" results="data" name="reminderStatus" list="reminderStatus" label="状态" />
				<include file="template:date" name="remindersdate" label="还款日期" results="data" attr='data-rule="required;"'/>
				<include file="template:textarea" name="evidence" label="还款凭证" value="{$data.evidence}" attr='data-rule="length(~200)" maxlength="200"'/>
				<include file="template:singleImage" results="data" name="evidenceimg" label="图片"/>
			</div>
			<div class="form-group" style="margin-top: 20px;">
				<include file="template:button" label="保存"/>
			</div>
		</form>
	</div>
</div>